Kellie O'Brien Ivie
Speech-Language Pathologist · Edwards, IL
Practice location
5601 Brookmere StEdwards, IL 61528-9408
- Phone
- (309) 363-7594
- Fax
- (309) 966-3621
NPI record
- NPI
- 1942814769
- Entity type
- Individual (Type 1)
- Enumeration date
- August 31, 2020
- Last updated
- February 10, 2022
- Certified
- February 10, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
146.016263 | IL |
| Speech-Language Pathologist | 235Z00000X |
242.005831 | IL |
About Kellie Ivie
Kellie O'Brien Ivie is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 5601 Brookmere St, Edwards, IL 61528-9408. The NPI number 1942814769 was assigned on August 31, 2020 and the record was last updated on February 10, 2022.
Kellie Ivie lists 2 licenses in the registry: #146.016263 (IL) for Speech-Language Pathologist; #242.005831 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kellie O'Brien Ivie?
The NPI number is 1942814769.
What is the phone number of Kellie Ivie?
The phone number listed for the practice location is (309) 363-7594.
Where is Kellie Ivie located?
5601 Brookmere St, Edwards, IL 61528-9408.
What is the taxonomy code for Kellie Ivie?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Speech-Language Pathologist providers in Edwards
- Lindsey Alvey10107 W Us Highway 150
- Savannah Andrews5601 Brookmere St
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- Sarah Myers, SLP5601 Brookmere St
- Elizabeth Ann Neumann6022 N Heinz Ln